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比较药师心理健康素养:发达国家与发展中国家。

Comparison of pharmacists' mental health literacy: Developed versus developing countries.

出版信息

J Am Pharm Assoc (2003). 2020 Sep-Oct;60(5S):S64-S72. doi: 10.1016/j.japh.2020.05.003. Epub 2020 Jun 21.

Abstract

OBJECTIVE

To compare the mental health literacy (MHL) of pharmacists in Nigeria and their comfort rendering pharmacy services to patients with mental illness with that of pharmacists in developed countries.

DESIGN

A cross-sectional study design was employed. Questionnaires containing closed, ordinal, Likert-type, and multi-choice questions were used to elicit information from the respondents.

SETTING AND PARTICIPANTS

Pharmacists from all areas of practice attending the 91st Annual Conference of the Pharmaceutical Society of Nigeria from October 29 to November 3, 2018, were conveniently sampled.

OUTCOME MEASURES

Pharmacists' MHL, stigma, desired social distance, and comfort rendering pharmacy services were compared with relevant literature from developed countries.

RESULTS

Of the approximately 360 pharmacists who received the survey, 117 responded (32.5%). Although less than half (45.3%, n = 48) of the pharmacists reported that antidepressants were beneficial in treating depressive symptoms, almost all of them (96.2%, n = 102) rated antipsychotics to be helpful for schizophrenia. The desired social distance was higher in schizophrenia than in depression (P = 0.001). More than half (57.1%, n = 61) of the pharmacists surveyed believed that violence was more likely among persons with a mental illness. The respondents reported a higher level of comfort giving medication advice to patients with cardiovascular disease than to those with mental illness (P < 0.001). Approximately one-third (34.0%, n = 36) of the pharmacists agreed that they had sufficient training in the identification and management of mental illness. Literature from developed countries showed high levels of MHL among pharmacists in terms of knowledge but relatively high levels of stigma, desired social distance, and discomfort rendering pharmaceutical care to patients with mental illness.

CONCLUSION

The findings indicate some knowledge gaps and misconceptions among Nigerian pharmacists regarding mental illness. The stigma and desired social distance among pharmacists in this study were comparable to findings from developed countries.

摘要

目的

比较尼日利亚药剂师的心理健康素养(MHL)及其为精神病患者提供药房服务的舒适度,与发达国家药剂师的情况进行比较。

设计

采用横断面研究设计。使用包含封闭式、有序、李克特量表和多项选择题的问卷从受访者那里收集信息。

地点和参与者

从 2018 年 10 月 29 日至 11 月 3 日参加尼日利亚药学协会第 91 届年会的所有实践领域的药剂师都进行了方便抽样。

结果测量

将药剂师的 MHL、耻辱感、期望的社会距离和提供药房服务的舒适度与发达国家的相关文献进行比较。

结果

在大约 360 名收到调查的药剂师中,有 117 名(32.5%)做出了回应。尽管只有不到一半(45.3%,n=48)的药剂师报告抗抑郁药有益于治疗抑郁症状,但他们几乎都(96.2%,n=102)认为抗精神病药对精神分裂症有帮助。对精神分裂症的期望社会距离高于抑郁症(P=0.001)。超过一半(57.1%,n=61)的被调查药剂师认为精神病患者更有可能暴力行为。受访者报告说,在向患有心血管疾病的患者提供药物建议方面,比向患有精神疾病的患者提供药物建议更舒适(P<0.001)。大约三分之一(34.0%,n=36)的药剂师同意他们在识别和管理精神疾病方面有足够的培训。来自发达国家的文献表明,药剂师在知识方面具有较高的 MHL,但耻辱感、期望的社会距离和向精神病患者提供药物治疗的不适程度相对较高。

结论

研究结果表明,尼日利亚药剂师在精神疾病方面存在一些知识差距和误解。本研究中药剂师的耻辱感和期望的社会距离与发达国家的研究结果相当。

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